Current management of inguinal false aneurysms
| Autor: | Kim Christian Houlind, Hans Peter Ravn, Christian Saicu, Johnny Christensen, Sten Vammen, Jørn M Jepsen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Percutaneous Computed Tomography Angiography medicine.medical_treatment 030204 cardiovascular system & hematology 0302 clinical medicine 030212 general & internal medicine Computed tomography angiography Endovascular coiling medicine.diagnostic_test Tissue Adhesives/administration & dosage Endovascular Procedures Thrombin General Medicine Middle Aged Embolization Therapeutic Treatment Outcome cardiovascular system Vascular surgical procedures Female Stents Radiology Cardiology and Cardiovascular Medicine Aneurysm False Thrombin/administration & dosage medicine.medical_specialty Physical examination Therapeutics Anastomosis Injections 03 medical and health sciences Blood Vessel Prosthesis Implantation Hematoma Aneurysm Blood vessel prosthesis medicine Humans Endovascular Procedures/adverse effects cardiovascular diseases Blood Vessel Prosthesis Implantation/adverse effects Aged Aneurysm False/diagnostic imaging business.industry Embolization Therapeutic/adverse effects medicine.disease False Surgery Blood Vessel Prosthesis Tissue Adhesives business |
| Zdroj: | Houlind, K C, Jepsen, J M, Saicu, C, Vammen, S, Christensen, J K & Ravn, H 2017, ' Current management of inguinal false aneurysms ', The Journal of Cardiovascular Surgery, vol. 58, no. 2, pp. 278-83 . https://doi.org/10.23736/S0021-9509.16.09836-0 Houlind, K, Jepsen, J M, Saicu, C, Vammen, S, Christensen, J K & Ravn, H 2017, ' Current management of inguinal false aneurysms ', The Journal of Cardiovascular Surgery, vol. 58, no. 2, pp. 278-283 . |
| DOI: | 10.23736/S0021-9509.16.09836-0 |
| Popis: | False aneurysms are formed as a result of bleeding causing a hematoma to compress the surrounding tissue. The majority of false aneurysms presenting to the vascular surgeon are caused by iatrogenic injury to an artery. Although anastomotic failure occurs, a much higher number is caused by bleeding from puncture sites after percutaneous intervention. Anticoagulative medication, low patelet counts and severely calcified vessels increase the risk of forming a false aneurysm. Experienced specialists may make the diagnosis from physical examination, but ultrasound imaging is almost always needed in order to decide for a treatment strategy. Small aneurysms with a diameter of less than 3 cm tend to thrombose spontaneously except in patients in anticoagulative treatment. Treatment options include ultrasound guided compression, which may be effective in a high proportion of patients who are not in anti-coagulative treatment, but may require prolonged compression and cause pain and discomfort. Duplex guided injection of thrombin or glue requires less time of compression and can be effective in patient s on antiocoagulative treatment, but may cause spillage of adhesive material into the crural vessels. Endovascular treatment with coils or covered stent grafts have proven useful in infected ilio-femoral false aneurysms. Open surgical repair may be the best treatment in the setting of imminent rupture, massive hematoma and skin necrosis. We present three patient cases treated with open surgery, endovascular coiling, and thrombin injection. |
| Databáze: | OpenAIRE |
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